Individual
DANIELLE LYNN ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2446 ELIZABETH LAKE RD, WATERFORD, MI 48328-3310
(248) 309-3344
Mailing address
47008 BURNING TREE LN, MACOMB, MI 48044-3023
(586) 598-2819
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4704275421
MI
363LF0000X
Family Nurse Practitioner
Primary
4704275421
MI
363LP2300X
Primary Care Nurse Practitioner
4704275421
MI
Other
Enumeration date
07/23/2019
Last updated
07/23/2019
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